NPIMap

Organization Active NPI

Her Crown LLC

  • Prosthetic/Orthotic Supplier
  • Buckeye, AZ
National Provider Identifier
1114645256
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HER CROWN LLC
Practice address
1560 S 233Rd Ave
Buckeye, AZ 85326-4057
Phone
(623) 745-3094
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Antonya BoatmanNPI 1578354924
Title
C
Phone
(623) 745-3094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1560 S 233Rd Ave
Buckeye, AZ 85326-4057

Mailing address

1560 S 233Rd Ave
Buckeye, AZ 85326-4057

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL 6237453094 Health Information Exchange (HIE)
Other URL 6237453094 Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1114645256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 S 233RD AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853264057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 S 233RD AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853264057",
            "telephone_number": "623-745-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HER CROWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "BOATMAN",
        "authorized_official_first_name": "ANTONYA",
        "authorized_official_title_or_position": "C",
        "authorized_official_telephone_number": "623-745-3094"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6237453094",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1560 S 233rd Ave",
            "city": "Buckeye",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853264057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6237453094",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "contact",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "1560 S 233rd Ave",
            "city": "Buckeye",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853264057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.